Abdul Hakeem, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

25MA10162100 Issued in NJ

Practice address

1808 W Main St
Russellville, AR 72801-2724

Phone

(479) 968-2841

Fax

(479) 964-5910

NPI assigned

May 12, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR, NJ, CT3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Cardiovascular Disease (Cardiology)

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bristol Hospital Multi Specialty Group, Inc.Group PAC ID 9032014758, 148 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bristol Hospital Hospital, Bristol, CT, CCN 070029

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ahakeem17842@epicdirect.rwjbh.org
• Direct secure messaging: abdul.hakeem.1@2433.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bristol Hospital Multi Specialty Group, Inc

  • General Practice Physician
  • Bristol, CT
  • NPI 1649265679
  Medicare reassignment Care Compare group NPD
• South Arkansas Physician Group LLC

  • Family Medicine Physician
  • El Dorado, AR
  • NPI 1285325969
  Medicare reassignment NPD
• St Mary's Physician Services LLC

  • General Practice Physician
  • Russellville, AR
  • NPI 1124084991
  Medicare reassignment NPD
• Rutgers Health-RWJ Scleroderma Program

  • Allergy & Immunology (Internal Medicine) Physician
  • New Brunswick, NJ
  • NPI 1679655781
  Medicare reassignment NPD
• St Marys Physician Services, LLC

  • Durable Medical Equipment & Medical Supplies
  • Russellville, AR
  • NPI 1063626117
  NPD
• Rutgers Health-RWJ Primary Medicine Group

  • Internal Medicine Physician
  • New Brunswick, NJ
  • NPI 1992887012

  Cardiovascular Disease

  NPD
• Rutgers Health-RWJ Scleroderma Program

  • Pediatric Adolescent Medicine Physician
  • New Brunswick, NJ
  • NPI 1023055738
  NPD
• Rutgers Health-RWJ Scleroderma Program

  • Psychiatry Physician
  • Piscataway, NJ
  • NPI 1033207378
  NPD
• Rutgers Health-RWJ Scleroderma Program

  dba Rutgers-RWJ Psychiatry Clinic

  • Psychiatry Physician
  • Piscataway, NJ
  • NPI 1316222664
  NPD
• Rutgers Health-RWJ Scleroderma Program

  • Maternal & Fetal Medicine Physician
  • Somerville, NJ
  • NPI 1750453346
  NPD
• Rutgers Health-RWJ Scleroderma Program

  • Radiation Oncology Physician
  • New Brunswick, NJ
  • NPI 1942249909
  NPD
• St Marys Physician Services, LLC

  dba Cardiology Associates of North Central Arkansas

  • Interventional Cardiology Physician
  • Russellville, AR
  • NPI 1720356207
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bristol Hospital Incorporated

  • General Acute Care Hospital
  • Bristol, CT
  • NPI 1619901642
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1285684845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WILSON LN",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088523132",
            "telephone_number": "608-695-3048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 W MAIN ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012724",
            "telephone_number": "479-968-2841",
            "fax_number": "479-964-5910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Paterson St Ste 6100",
            "address_purpose": "LOCATION",
            "city": "New Brunswick",
            "state": "NJ",
            "postal_code": "089011962",
            "country_code": "US",
            "telephone_number": "732-235-6561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAKEEM",
        "first_name": "ABDUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AR",
            "license": "E7653",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA10162100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydni Guthrie, PT
• H & B Mobile X-Ray
• Hagerty Family Dental, P.a. (Hageryt Family Dental, P.A.)
• Angela Hagerty, RECOVERY ASSISTANT
• Curtis Lee Hagerty, D.D.S.
• Andrea Elizabeth Hale
• Jeffrey Hale, MD
• Jessica Hale
• W Russell Hall, DC
• Jared Ham

• Cardiovascular Disease Physician in Russellville, AR
• Providers in Russellville, AR by specialty
• Cardiovascular Disease Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.